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IP – Seizure – Neonatal – Supplemental [5057]

IP – Seizure – Neonatal – Supplemental [5057] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Neonatal


SmartSet: IP - SEIZURE - NEONATAL - SUPPLEMENTAL (ID:5057)
General Information
Display name: IP - Seizure - Neonatal - Supplemental
Type: General
Merge priority:
Version comment:
Content source:
Synonyms: 1. NICU
2. PICU
3. .NICU
SmartSet notes:
Description:
Web information: Title URL
1.
Questionnaire:
Configuration
Laboratory
Cerebrospinal Fluid
CELL COUNT, CSF STAT - RN COLLECT For 1 Occurrences, Routine, Please
indicate if specimen source is CSF, lumbar puncture, or
ventricular shunt fluid.
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Minimum volume to collect: 0.5 mL.
Container: Sterile Screw Cap.
GLUCOSE, CSF STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Minimum volume to collect: 0.2 mL.
Container: Sterile Screw Cap.
PROTEIN, CSF STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Minimum volume to collect: 0.1 mL.
Container: Sterile Screw Cap.
LACTATE, CSF STAT - RN COLLECT For 1 Occurrences, STAT
If add on test, what should lab do if unable to add test to
previous specimen?
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If Conditional, What Condition?
Minimum volume to collect: 0.1 mL.
Container: Sterile Screw Cap. Send to lab immediately.
HERPES SIMPLEX VIRUS BY PCR STAT - RN COLLECT For 1 Occurrences, Routine
Indicate specimen source if other:
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Minimum volume to collect: 0.3 mL.
Container: Sterile Screw Cap.
AMINO ACID, CSF STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Minimum volume to collect: 0.3 mL.
Container: Sterile Screw Cap. Critical Frozen.
Medical Neurogenetics Laboratory (Total Volume for * tests = 3.5 mL CSF)
NEUROTRANSMITTER, CSF ONCE For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to previous specimen?
If Conditional, What Condition?
Container: Contact 263-7060 for collection kit. Send to lab on ice.
Send to Medical Neurogenetics in Special Tubes. See procedure at
http://www.medicalneurogenetics.com/assets/dr/Neurochemistry_Collection_Protocols.pdf
PYRIDOXAL 5'PHOSPHATE, CSF ONCE For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to previous specimen?
If Conditional, What Condition?
Container: Contact 263-7060 for collection kit. Send to lab on ice.
Send to Medical Neurogenetics in Special Tubes. See procedure at
http://www.medicalneurogenetics.com/assets/dr/Neurochemistry_Collection_Protocols.pdf
4-Hydroxybutyric Acid ONCE For 1 Occurrences, Routine
What lab test would you like to have performed? 4-Hydroxybutyric acid - NC09
Container: Contact 263-7060 for collection kit. Send to lab on ice.
Send to Medical Neurogenetics in Special Tubes. See procedure at
http://www.medicalneurogenetics.com/assets/dr/Neurochemistry_Collection_Protocols.pdf
SUCCINYLADENOSINE, CSF ONCE For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to previous specimen?
If Conditional, What Condition?
Container: Contact 263-7060 for collection kit. Send to lab on ice.
Send to Medical Neurogenetics in Special Tubes. See procedure at
http://www.medicalneurogenetics.com/assets/dr/Neurochemistry_Collection_Protocols.pdf
Alpha-Aminoadipic Semialdehyde ONCE For 1 Occurrences, Routine
What lab test would you like to have performed? Alpha-aminoadipic semialdhyde - NC08
Container: Contact 263-7060 for collection kit. Send to lab on ice.
Send to Medical Neurogenetics in Special Tubes. See procedure at
http://www.medicalneurogenetics.com/assets/dr/Neurochemistry_Collection_Protocols.pdf
5-
METHYLTETRAHYDROFOLATE,CSF
ONCE For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to previous specimen?
If Conditional, What Condition?
Container: Contact 263-7060 for collection kit. Send to lab on ice.
Send to Medical Neurogenetics in Special Tubes. See procedure at
http://www.medicalneurogenetics.com/assets/dr/Neurochemistry_Collection_Protocols.pdf
Blood (5.4 mL) plus additional blood for DNA testing
ALBUMIN STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Minimum volume to collect: 0.2 mL.
Container: Green microtainer
ALKALINE PHOSPHATASE STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Minimum volume to collect: 0.2 mL.
Container: Green microtainer
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AMMONIA STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Minimum volume to collect: 0.2 mL.
Container: Green microtainer
ALT/SGPT STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Minimum volume to collect: 0.2 mL.
Container: Green microtainer
AST/SGOT STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Minimum volume to collect: 0.2 mL.
Container: Green microtainer
BILIRUBIN, TOTAL STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Minimum volume to collect: 0.2 mL.
Container: Green microtainer
BUN STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Minimum volume to collect: 0.2 mL.
Container: Green microtainer
CALCIUM STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Minimum volume to collect: 0.2 mL.
Container: Green microtainer
CREATININE STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Minimum volume to collect: 0.2 mL.
Container: Green microtainer
ELECTROLYTES STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Minimum volume to collect: 0.3 mL.
Container: Green microtainer
GLUCOSE STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Minimum volume to collect: 0.2 mL.
Container: Green microtainer
PROTEIN, TOTAL STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Minimum volume to collect: 0.2 mL.
Container: Green microtainer
ACYLCARNITINE STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Minimum volume to collect: 0.6 mL.
Container: Green top. Send to lab immediately.
AMINO ACIDS, QUANTITATIVE STAT - RN COLLECT For 1 Occurrences, Routine
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Clinical History/ Reason for Testing:
Is infant on formula?
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Minimum volume to collect 0.7 mL.
Container: Green top. Send to lab immediately.
CARNITINE STAT - RN COLLECT For 1 Occurrences, Routine, Test
includes total carnitine, free carnitine, and carnitine esters.
Clinical History/ Reason for Testing:
Is infant on formula?
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Minimum volume to collect: 0.9 mL.
Container: Green top. Send to lab immediately.
BIOTINIDASE STAT - RN COLLECT For 1 Occurrences, Routine
Clinical History/ Reason for Testing:
Is infant on formula?
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Minimum volume to collect: 1.8 mL.
Container: Red top. Send to lab immediately.
LACTATE/PYRUVATE STUDIES STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Minimum volume to collect: 0.6 mL.
Container: Red top. Send to lab immediately.
CARBOHYDRATE DEF TRANSFERRIN (CONGENITAL
GLYCOSYLATION)
STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Minimum volume to collect: 0.2 mL.
Container: Red top.
Capillary Blood
Glucose, POC STAT - RN COLLECT For 1 Occurrences, Routine, Glucose,
POC should always be ordered in conjunction with orders for
hypoglycemia management and monitoring as indicated in the
Hypoglycemia Management (Adult) panel.
If Conditional, What Condition?
Time this with CSF glucose draw.
NEONATAL SCREEN STAT - RN COLLECT For 1 Occurrences, Routine, This test is
to be used for a complete Wisconsin State Newborn Screen. Do
not use to order other testing to be collected using dried blood
spots.
Last patient weight? (will auto pull in value and date in
comment):
Has pt EVER been transfused? (If YES enter date of last
transufsion below):
Date of Last Transfusion:
Date of last newborn screen:
Timing of Collection (See WSLH Collection Info reference link
below):
Contact 263-7060 for collection kit.
Urine (9.8 mL)
PURINE AND PYRIMIDINE PANEL, URINE ONCE For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Minimum volume to collect: 1.0 mL.
Container: Random urine. Send to lab immediately.
ORGANIC ACIDS, URINE ONCE For 1 Occurrences, Routine
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Clinical History/ Reason for Testing:
Is infant on formula?
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Minimum volume to collect: 3.0 mL.
Container: Random urine. Send to lab immediately.
ACYLGLYCINE, URINE ONCE For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Minimum volume to collect: 4.0 mL.
Container: Random urine.
Alpha-aminoadipic acid ONCE For 1 Occurrences, Routine
What lab test would you like to have performed? Alpha-
aminoadipic acid
Minimum volume to collect: 0.5 mL.
Container: Random urine.
CREATINE DISORDERS PANEL, URINE ONCE For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Minimum volume to collect: 0.5 mL.
Container: Random urine. Send to lab immediately.
S-SULFOCYSTIENE, URINE ONCE For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Minimum volume to collect: 0.3 mL.
Container: Random urine. Send to lab immediately.
URINALYSIS, NO MICROSCOPY ONCE For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Minimum volume to collect: 0.5 mL.
Container: Random urine.
Criteria
Suggestions: UWIP C LOGIN DEPT IPPED NEONATAL INTENSIVE CARE[3001764]
UWIP C LOGIN DEPT IP PEDIATRICS[3001746]
Filter: UWIP ORDER SET RESTRICTOR - IP AND PEDS - NOT IP DC[3000404]
Restrict SmartSet:
Settings
Discontinue action:
Deselect sections for
Pended/Held orders:
Pended/Held orders display:
Release date: Use System Definitions Setting
Disallow user override:
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Copyright © 2016 University of Wisconsin Hospitals and Clinics Authority